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See a sample rate comparisonHCPCS L6688 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Upper extremity addition, frame type socket, above elbow or elbow disarticulation
| Key Fact | Detail |
|---|---|
| Service Type | Prosthetic Procedures Upper Extremity Prosthetic Additions |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for L6688 |
National average reimbursement for HCPCS L6688 by major payers:
$645.72
$382.42
$433.35
$904.54
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HCPCS L6688
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
$1,229.16Published rateThe Hospital Authority Of Habersham County
$465.44Published rateUjuka Iloabuchi
Atlanta Womens Health Group, P.C.
$343.29Published rateEmory Healthcare
Cardiac Arrhythmia Institute
$317.20Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$291.80Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS L6688 vs. Other Upper Extremity Prosthetic Additions Codes
The HCPCS L6688 code is part of the Prosthetic Procedures services used for Upper Extremity Prosthetic Additions. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS L6688 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| L6687-HCPCS | Moderate | Upper extremity addition, frame type socket, below elbow or wrist disarticulation |
| L6688-HCPCS | Moderate | Upper extremity addition, frame type socket, above elbow or elbow disarticulation |
| L6689-HCPCS | Moderate | Upper extremity addition, frame type socket, shoulder disarticulation |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS L6688. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the L6688 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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